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轮状病毒脑炎在婴儿中表现类似无热良性惊厥。

Rotavirus encephalitis mimicking afebrile benign convulsions in infants.

作者信息

Hongou K, Konishi T, Yagi S, Araki K, Miyawaki T

机构信息

Department of Pediatrics, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Sugitani, Japan.

出版信息

Pediatr Neurol. 1998 Apr;18(4):354-7. doi: 10.1016/s0887-8994(97)00206-3.

Abstract

A 2-year-old-boy had rotavirus gastroenteritis and demonstrated afebrile partial seizures with secondary generalization. The presence of rotavirus genome and anti-rotavirus IgG was detected in the cerebrospinal fluid. The genotype of VP4 was P8 and that of VP7 was G4. The imaging analysis by computed tomography and single photon emission computed tomography implied encephalitis. The seizures were well controlled by standard antiepileptic therapy, and the child experienced normal development with neither physical nor neurologic sequelae, which appeared to mimic benign infantile partial epilepsy.

摘要

一名2岁男童患轮状病毒性肠胃炎,并出现无热部分性发作继发全面性发作。在脑脊液中检测到轮状病毒基因组和抗轮状病毒IgG。VP4基因型为P8,VP7基因型为G4。计算机断层扫描和单光子发射计算机断层扫描的影像学分析提示为脑炎。癫痫发作通过标准抗癫痫治疗得到良好控制,患儿发育正常,无身体或神经后遗症,这似乎类似于良性婴儿部分性癫痫。

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